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World Journal for Pediatric & Congenital Heart Surgery

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https://read.qxmd.com/read/30686141/aortic-root-enlargement-and-aortic-valve-replacement-for-calcified-supravalvular-and-valvular-aortic-stenosis-in-homozygous-familial-hypercholesterolemia-a-case-report
#1
Ujjwal Kumar Chowdhury, Abhinavsingh Chauhan, Suruchi Hasija, Jhulana Kumar Jena, Lakshmi Kumari Sankhyan, Ravi Phulware
Familial homozygous hypercholesterolemia is a rare disease with diverse clinical presentations ranging from premature ischemic heart disease to aortic root stenosis but rarely presents with anginal symptoms due to supravalvular and valvular aortic stenosis. We report a 19-year-old male patient with familial homozygous hypercholesterolemia with progressive supravalvular and valvular aortic stenosis that ultimately required aortic root enlargement and aortic valve replacement using a mechanical prosthesis, despite aggressive medical therapy...
January 27, 2019: World Journal for Pediatric & Congenital Heart Surgery
https://read.qxmd.com/read/30654705/successful-surgical-management-of-a-rare-case-of-mixed-type-of-total-anomalous-pulmonary-venous-connection-in-a-very-low-birth-weight-preterm-child-using-a-novel-surgical-technique
#2
Anuj Mehta, Vijayakumar Raju, Subramanian Muthukumaran, Soundaravalli Balakrishnan, Kalyanasundaram Muthuswamy
We report a rare case of combined supra- and infracardiac type of total anomalous pulmonary venous connection (mixed-type TAPVC) in a 26-day-old low birth weight (1.9 kg) infant who was admitted with respiratory distress. The child underwent successful surgical repair using a novel surgical technique and is doing well at one year follow-up.
January 17, 2019: World Journal for Pediatric & Congenital Heart Surgery
https://read.qxmd.com/read/30654700/hammock-mitral-valve-repair-in-infancy-operative-steps-toward-a-customized-reconstruction-after-preoperative-planning
#3
Dennis VanLoozen, Michael A Jensen, William A Lutin, Anastasios C Polimenakos
Hammock mitral valve (MV) repair is historically technically difficult with a guarded prognosis. Surgical experience is extremely limited and variable outcomes are reported. The perioperative strategy and technical details of hammock MV repair in an infant who presented with severe mitral stenosis are described and review of the existing literature was undertaken.
January 17, 2019: World Journal for Pediatric & Congenital Heart Surgery
https://read.qxmd.com/read/30651047/recycling-of-the-pulmonary-autograft-during-reverse-ross-operation-from-pulmonary-valve-to-neoaortic-valve-and-back
#4
Martin Schmiady, Dominique Bettex, Michael Hübler, Martin Schweiger
The Ross operation is the operation of choice for children and young adults who require aortic valve replacement. Although the allograft does not require anticoagulation and has a superior hemodynamic profile compared to other valve substitutes, concerns regarding allograft and autograft longevity have risen in the last decade. We present a case illustrating an alternative operative technique for patients with failed Ross procedure in which the autograft is recycled in order to avoid a two-allograft replacement...
January 16, 2019: World Journal for Pediatric & Congenital Heart Surgery
https://read.qxmd.com/read/30651045/late-dissection-of-a-contegra-conduit-a-rare-complication
#5
Christian Ortega-Loubon, Joaquín Fernández-Doblas, Joaquín Pérez-Andreu, Manuel Fernández-Molina, María Sol Siliato, Raúl F Abella
Surgical palliation of many types of congenital heart defects requires the use of a conduit between the right ventricle and the pulmonary artery. Dissections of these conduits are very infrequent. We report a case of a ten-year-old girl who developed acute right heart failure related to a Contegra conduit dissection. She underwent a new conduit replacement on an emergency basis.
January 16, 2019: World Journal for Pediatric & Congenital Heart Surgery
https://read.qxmd.com/read/30630383/fontan-revision-presurgical-planning-using-four-dimensional-4d-flow-and-three-dimensional-3d-printing
#6
Thomas Carberry, Raghav Murthy, Albert Hsiao, Colin Petko, John Moore, John Lamberti, Sanjeet Hegde
Pulmonary arteriovenous malformations (AVMs) can be a complication of certain postoperative Fontan patients whose hepatic venous blood return is not distributed evenly to both lungs. A ten-year-old female, who had previously undergone staged single ventricle palliation for complex congenital heart disease, underwent a Fontan revision due to significant left-sided pulmonary AVMs and increasing arterial oxygen desaturation. The combination of four-dimensional flow cardiac magnetic resonance imaging and three-dimensional printing enabled presurgical planning for a Fontan takedown and diversion of hepatic venous flow to the azygous vein that resulted in significant clinical improvement...
January 10, 2019: World Journal for Pediatric & Congenital Heart Surgery
https://read.qxmd.com/read/30760124/congenitally-corrected-transposition-presenting-in-the-first-year-of-life-survival-and-fate-of-the-systemic-right-ventricle
#7
Benjamin Smood, James K Kirklin, Jozef Pavnica, Margaret Tresler, Walter H Johnson, David C Cleveland, David C Mauchley, Robert J Dabal
INTRODUCTION: Knowledge gaps exist in the life expectancy and functional outcome of patients with congenitally corrected transposition (ccTGA) presenting early in life, which is relevant in the evaluation of early anatomic repair. METHODS: In a single-center analysis, 91 patients with ccTGA were identified over 25 years, of which 31 presented with biventricular anatomy in the first year of life and formed the study cohort. End points for analysis included survival, moderate or worse tricuspid valve regurgitation, and systemic right ventricle (RV) dysfunction...
January 2019: World Journal for Pediatric & Congenital Heart Surgery
https://read.qxmd.com/read/30322371/antiplatelet-effect-of-ketorolac-in-children-after-congenital-cardiac-surgery
#8
John S Kim, Jon Kaufman, Sonali S Patel, Marilyn Manco-Johnson, Jorge Di Paola, Eduardo M da Cruz
BACKGROUND: Ketorolac is used for pediatric analgesia after surgery despite its known platelet inhibition via the arachidonic acid (AA) pathway. The degree of platelet inhibitory effect after cardiac surgery is not well characterized. Thromboelastography with platelet mapping (TEG-PM) is emerging as a frequently used test to evaluate platelet inhibition via the AA pathway. METHODS: Post hoc analysis of a data set collected in a prospective observational cohort study evaluating platelet inhibition in children after congenital heart surgery with cardiopulmonary bypass (CPB)...
November 2018: World Journal for Pediatric & Congenital Heart Surgery
https://read.qxmd.com/read/30322370/comprehensive-management-considerations-of-select-noncardiac-organ-systems-in-the-cardiac-intensive-care-unit
#9
REVIEW
Christin Huff, Christopher W Mastropietro, Christine Riley, Jonathan Byrnes, David M Kwiatkowski, Misty Ellis, Jennifer Schuette, Lindsey Justice
As the acuity and complexity of pediatric patients with congenital cardiac disease have increased, there are many noncardiac issues that may be present in these patients. These noncardiac problems may affect clinical outcomes in the cardiac intensive care unit and must be recognized and managed. The Pediatric Cardiac Intensive Care Society sought to provide an expert review of some of the most common challenges of the respiratory, gastrointestinal, hematological, renal, and endocrine systems in pediatric cardiac patients...
November 2018: World Journal for Pediatric & Congenital Heart Surgery
https://read.qxmd.com/read/30322369/factors-associated-with-interstage-mortality-following-neonatal-single-ventricle-palliation
#10
Bahaaldin Alsoufi, Courtney McCracken, Lazaros K Kochilas, Martha Clabby, Kirk Kanter
BACKGROUND: Several advances have led to improved hospital survival following neonatal palliation (NP) of single ventricle (SV) anomalies. Nonetheless, a number of patients continue to suffer from interstage mortality (ISM) prior to subsequent Glenn. We aim to study patients' characteristics and anatomic, surgical, and clinical details associated with ISM. METHODS: A total of 453 SV neonates survived to hospital discharge following NP. Competing risk analysis modeled events after NP (Glenn, transplantation, or death) and examined variables associated with ISM...
November 2018: World Journal for Pediatric & Congenital Heart Surgery
https://read.qxmd.com/read/30322368/pulmonary-autograft-mitral-valve-replacement-ross-ii-long-term-follow-up-of-a-us-center
#11
David Blitzer, Jeremy L Herrmann, John W Brown
BACKGROUND: Mitral valve replacement (MVR) with a pulmonary autograft (Ross II) may be a useful technique for pediatric and young adult patients who wish to avoid anticoagulation. Our aim was to evaluate the long-term outcomes of the Ross II procedure at our institution. METHODS: Patients undergoing the Ross II procedure between June 2002 and April 2008 were included. Preoperative diagnoses included rheumatic disease (n = 5), congenital mitral valve (MV) pathology (partial atrioventricular canal defect [n = 2], complete atrioventricular canal defect [n = 1], Shone's complex [n = 1]), and myocarditis (n = 1)...
November 2018: World Journal for Pediatric & Congenital Heart Surgery
https://read.qxmd.com/read/30322367/wide-dissection-and-intercostal-vessel-division-allows-for-repair-of-hypoplastic-aortic-arch-through-thoracotomy
#12
Néstor F Sandoval, Catalina Vargas Acevedo, Juan Bernardo Umaña, Ivonne Pineda, Albert Guerrero, Carlos Obando, Juan P Umaña, Jaime Camacho
BACKGROUND: The approach to coarctation of the aorta with hypoplastic aortic arch is controversial. We evaluated the outcomes in patients with coarctation of the aorta with or without hypoplastic aortic arch operated through a posterior left lateral thoracotomy. METHODS: A retrospective cohort of patients with aortic coarctation, who underwent repair between January 2009 and October 2017, was analyzed. Preoperative, postoperative, and echocardiographic characteristics were reviewed...
November 2018: World Journal for Pediatric & Congenital Heart Surgery
https://read.qxmd.com/read/30322366/surgery-for-tga-vsd-lvoto-many-treatment-options-for-a-heterogeneous-and-rare-malformation
#13
REVIEW
Jürgen Hörer
Surgical techniques for correction of transposition of the great arteries with ventricular septal defect and left ventricular outflow tract obstruction have been introduced into clinical practice nearly five decades ago. However, the optimal surgical strategy is still controversial. The reasons for the diverse approaches to this malformation are discussed in this commentary.
November 2018: World Journal for Pediatric & Congenital Heart Surgery
https://read.qxmd.com/read/30322365/outcomes-of-surgical-repair-of-complex-d-transposition-of-the-great-arteries
#14
Anna Olds, Yuki Nakamura, Stephanie Levasseur, Amee Shah, Lindsay Freud, Anjali Chelliah, Paul Chai, Jan Quaegebeur, Emile Bacha, David Kalfa
BACKGROUND: D-transposition of the great arteries (TGA) or TGA-type double outlet right ventricle (DORV) with ventricular septal defect (VSD) and left ventricular outflow tract obstruction (LVOTO) may be treated with the arterial switch operation (ASO), Rastelli, Réparation à l'Etage Ventriculaire (REV), or Nikaidoh procedures. We evaluated midterm results of these techniques. METHODS: We retrospectively reviewed 42 cases of anatomic repair from 2005 to 2014 at our institution for TGA (n = 29) or TGA-type DORV (n = 13) with VSD and LVOTO...
November 2018: World Journal for Pediatric & Congenital Heart Surgery
https://read.qxmd.com/read/30322364/rare-cause-for-a-continuous-murmur-large-left-coronary-artery-to-coronary-sinus-fistula
#15
Shankar Baskar, Russel Hirsch, Adam W Powell, Devin Tinker, Thomas R Kimball
No abstract text is available yet for this article.
November 2018: World Journal for Pediatric & Congenital Heart Surgery
https://read.qxmd.com/read/30322363/isolated-left-innominate-artery-diagnosis-of-a-rare-aortic-arch-anomaly
#16
Andrew D Spearman, Viktor Hraska, Benjamin H Goot
No abstract text is available yet for this article.
November 2018: World Journal for Pediatric & Congenital Heart Surgery
https://read.qxmd.com/read/30322362/fluid-management-with-peritoneal-dialysis-after-pediatric-cardiac-surgery
#17
REVIEW
Matthew F Barhight, Danielle Soranno, Sarah Faubel, Katja M Gist
Children who undergo cardiac surgery with cardiopulmonary bypass are a unique population at high risk for postoperative acute kidney injury (AKI) and fluid overload. Fluid management is important in the postoperative care of these children as fluid overload is associated with increased morbidity and mortality. Peritoneal dialysis catheters are an important tool in the armamentarium of a cardiac intensivist and are used for passive drainage for fluid removal or dialysis for electrolyte and uremia control in AKI...
November 2018: World Journal for Pediatric & Congenital Heart Surgery
https://read.qxmd.com/read/30322361/sacrificing-collateral-arteries-in-infant-coarctation-surgery-is-probably-safe%C3%A2-but-being-of-no-absolute-need-why-should-we-do-it
#18
COMMENT
José Fragata
No abstract text is available yet for this article.
November 2018: World Journal for Pediatric & Congenital Heart Surgery
https://read.qxmd.com/read/30322360/maternal-distress-and-infant-social-withdrawal-adbb-following-infant-cardiac-surgery-for-congenital-heart-disease
#19
Jennifer M Re, Suzanne Dean, Jimmy Mullaert, Antoine Guedeney, Samuel Menahem
BACKGROUND: Mothers and infants are exposed to multiple stresses when cardiac surgery is required for the infant. This study reviewed infant responsiveness using a standardized objective observational measure of social withdrawal and explored its association with measures of maternal distress. METHODS: Mother-infant pairs involving infants surviving early cardiac surgery were assessed when the infant was aged two months. Infant social withdrawal was measured using the Alarm Distress Baby Scale...
November 2018: World Journal for Pediatric & Congenital Heart Surgery
https://read.qxmd.com/read/30322359/incremental-history-of-the-congenital-heart-surgeons-society-2014-2018
#20
Constantine Mavroudis, James K Kirklin, William M DeCampli
The history of the first 41 years of the Congenital Heart Surgeons Society (CHSS) was recorded in 2015 which chronicled the metamorphosis of a small informal meeting into a mature organization with bylaws, officers, committees, funded research, the Kirklin-Ashburn Fellowship, and a vision to become the premier organization of congenital heart surgery in North America. Chief among these transformations was the implementation and development of the CHSS Data Center. Member participation, fellowship education, and significant outcomes research have been the hallmark of the CHSS...
November 2018: World Journal for Pediatric & Congenital Heart Surgery
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